{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T19:46:30Z","timestamp":1776714390951,"version":"3.51.2"},"reference-count":0,"publisher":"Universa BV","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>This study aimed to evaluate the feasibility of proximal femoral nailing (PFN) in the lateral decubitus position using a standardized, limb-based approach without a traction table and to report early postoperative (24\u201372 hours) radiographic and technical outcomes, focusing on lag screw position and tip\u2013 apex distance (TAD). This single-center retrospective study included 52 adult patients (&gt;18 years) who underwent PFN in the lateral decubitus position according to a standardized algorithm between January 2021 and December 2024. Demographic characteristics, fracture classification, operative parameters, early postoperative (24\u201372 hours) radiographic measurements (TAD and Cleveland\u2013Bosworth quadrant position), and postoperative complications recorded during available follow-up were collected. Evans and Boyd\u2013Griffin classifications were used for fracture typing. Statistical analyses evaluated the association between fracture stability and operative duration; analyses involving cut-out were interpreted descriptively due to the low event count. The mean age was 70.5 \u00b1 13.4 years, and 59.6% of patients were male. According to the Evans classification, 69.2% of fractures were stable, 23.1% were unstable, and 7.7% were reverse oblique. The mean operative preparation time was 10.4 \u00b1 1.8 minutes, and the mean operative duration was 43.6 \u00b1 7.9 minutes; operative duration was longer in unstable fractures (p &lt; 0.001). According to the Cleveland\u2013Bosworth system, 73.1% of lag screws were positioned central\u2013 central, and no screws were placed in the superior\u2013posterior quadrant. The mean TAD was 17.7 mm, and 96.2% of patients had TAD &lt; 25 mm. Cut-out occurred in two patients (3.8%) and was observed among patients with higher TAD values; this observation was considered exploratory. We present a novel standardized, limb-based lateral decubitus PFN algorithm without a traction table. The approach yielded reproducible early postoperative radiographic parameters (24\u201372 hours), including acceptable TAD values and favorable Cleveland\u2013Bosworth screw placement.<\/jats:p>","DOI":"10.52628\/92.1.15247","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T19:11:14Z","timestamp":1776712274000},"source":"Crossref","is-referenced-by-count":0,"title":["A Novel C-arm Rotation and Limb-Positioning Algorithm to Obtain a Reliable Lateral Femoral Neck View in Lateral Decubitus Intertrochanteric Fracture Fixation"],"prefix":"10.52628","volume":"92","author":[{"given":"A","family":"YI\u011eITBAY","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"YILDIRIM","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"\u00c7ETIN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"27062","published-online":{"date-parts":[[2026,4,20]]},"container-title":["Acta Orthopaedica Belgica"],"original-title":[],"deposited":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T19:11:14Z","timestamp":1776712274000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actaorthopaedica.be\/archive\/volume-92\/spring\/original-studies\/a-novel-c-arm-rotation-and-limb-positioning-algorithm-to-obtain-a-reliable-lateral-femoral-neck-view\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,20]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,4,20]]}},"URL":"https:\/\/doi.org\/10.52628\/92.1.15247","relation":{},"ISSN":["0001-6462"],"issn-type":[{"value":"0001-6462","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4,20]]},"article-number":"92.1.15247"}}